Individual
DR. RONALD L VANDERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44555 WOODWARD AVE, SUITE 501, PONTIAC, MI 48341-5031
(248) 338-7171
(248) 858-3889
Mailing address
1130 LAKESIDE DR, BIRMINGHAM, MI 48009-1381
(248) 642-4213
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301027633
MI
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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